Lilac City Neuropsychology PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

LILAC CITY NEUROPSYCHOLOGY PLLC

Practice address

1403 S Grand Blvd Ste 203N
Spokane, WA 99203-2200

Phone

(509) 779-8065

Fax

(844) 779-0338

NPI assigned

Feb 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Virginia M. KlemanNPI 1205068087

Title

Owner

Phone

(509) 779-8065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia M. Kleman, PSY.D.

  • Clinical Neuropsychologist
  • Spokane, WA
  • NPI 1205068087
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1639933641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 203N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032200",
            "telephone_number": "509-779-8065",
            "fax_number": "844-779-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 203N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032200",
            "telephone_number": "509-779-8065",
            "fax_number": "844-779-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC CITY NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "KLEMAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-779-8065"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lee Lightner, LICSW
• Alyssa Likes
• Lilac City Behavioral Services, PLLC
• Lilac City Counseling, PLLC
• Lilac City Medical Transport LLC
• Lilac City Physical Therapy & Sports Rehab LLC
• Lilac City Psychiatry, LLC
• Lilac City Therapy
• Lilac Counseling Services, LLC
• Lilac Speech and Language PLLC

• Clinical Neuropsychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.